<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>fastguahao</title>
<link type="text/css" rel="stylesheet" href="../css/guahao/fastguahao.css" />
</head>

<body>
<div id="ghcontent">

<form  action="/guahao/check" method="post" name="reg" id="reg">
<p>您的预约挂号信息是：</p>
<p>预约挂号日期：<?php echo $this->date;?></p>
<p>医生姓名：<?php echo $this->doctor;?></p>
<p>患者身份证号：<?php echo $this->userID;?></p>
<p style="color:#F00"> 请您核对您的预约挂号信息，如果核对完毕点击提交按钮进行提交。如果有误请返回上一页面重新预约。</p>

<input type="hidden" value="<?php echo $this->ysbm;?>" name="ysbm" />

<input type="hidden" value="<?php echo $this->date;?>" name="date" />

<input type="hidden" value="<?php echo $this->userID;?>" name="userID" />
<input type="hidden" value="<?php echo $this->weekday;?>" name="weekday" />

<br />
<input type="submit" value="提交"  /><input type="button" value="返回" onclick="history.go(-1)"  style="margin-left:20px;"/>
</form>
</div>
</body>
</html>